Kua rongo pea koe i te kupu 'cholesterol', tika? Engari ina kī mai tō tākuta ko 'hyperlipidemia', tera pea ka pōhēhē koe. Kaua e manukanuka, he rite tonu te tikanga o ēnei kupu e rua. Ki te kī noa, ko te tikanga he nui ake te ngako o roto i tō toto, arā, ko 'lipids' te ingoa. He mate tino noa tēnei e kitea ana i roto i te tini o te tangata i tō tātou whenua.
He aha ngā momo lipids i roto i te toto?
He maha ngā momo ngako, ngā lipid rānei, kei roto i ō tātou toto. Whakaarohia he rite ō tātou toto ki te rori. He motuka pai, he motuka kino hoki kei runga i tēnei rori.
- Korekore HDL: Koinei te "korekore pai." He rite ki te taraka para. Ka kohia e ia te korekore kāore e hiahiatia kua hangai ki roto i ō oko toto ka tukuna ki te ate. Ka tangohia e te ate taua korekore kāore e hiahiatia mai i tō tinana. Nō reira, he tino pai te whai i te taumata HDL pai mō tō tinana.
- Korekore LDL: Koinei te mea e kiia nei e tātou ko te "korekore kino." He rite ki te motuka e waiho ana i ngā para ki ngā wāhi katoa i runga i te rori. Ka piri tēnei korekore LDL ki ngā pakitara o ō tātou uaua toto. I roto i te wā, ka hanga ēnei ka tīmata ki te aukati i te roto o ngā uaua toto. Mā tēnei ka ara ake te ara mō ngā mate nui pēnei i te mate manawa me te whiu.
- Triglycerides: Ko tētahi atu momo ngako tēnei i roto i ō tātou toto. Ko te nuinga o ēnei ka puta mai i ngā kai momona me ngā kai huka e kainga ana e tātou. Kāore e pai mō te tinana te nui rawa o ēnei.
- Kolesterol VLDL: Pērā i te LDL, e kiia ana tēnei he momo cholesterol "kino". Ina teitei, ka piki ake te mōrearea o te mate manawa.
He aha tātou ka pāngia ai e te Hyperlipidemia? He aha ngā take?
He maha ngā take mō tēnei. Ko ētahi he mea ka taea e tātou te whakahaere, ko ētahi he mea kāore e taea e tātou.
| Momo take | Ngā tauira |
|---|---|
| Kai | Ngā kai he nui te ngako kukū me te ngako whakawhiti. Hei tauira: tīhi, toene hua manu, kai parai, kai tukatuka, aihikirīmi, hua tunu, mīti whero (pīhi, poaka). |
| Āhua noho | Te momi hikareti, te inu nui i te waipiro, te taumaha rawa, te kore e whakakorikori tinana, me te ahotea nui. |
| Ētahi atu āhuatanga hauora | Ngā mate pēnei i te mate huka, te mate tākihi, te mate ate, te hypothyroidism, te polycystic ovary syndrome (PCOS), me te lupus. |
| Ētahi rongoā | Ko ētahi steroids, ko ētahi rongoā toto toto tiketike (Beta-blockers, Diuretics), pire ārai whānau, ko ētahi rongoā HIV. |
| Ngā take ira e ahu mai ana i ngā whakatipuranga | Ka riro mai i ētahi tāngata tēnei āhuatanga i ō rātou mātua. Ka kiia tēnei ko te 'Familial Hyperlipidemia'. He tino teitei ngā taumata cholesterol o ēnei tāngata i te wā taitamariki, ā, he nui ake te mōrearea ki te pāngia e te mate manawa. |
He aha ngā tohu o te hyperlipidemia?
Ko te mea tino nui, ā, he mea whakamataku hoki i konei, koia tēnei: He tokomaha te hunga whai mate pēnei kāore e whakaatu i tētahi tohu i te tīmatanga.
He maha ngā wā, kāore tēnei mate e puta he tohu i te tīmatanga. Koia te take ka rite pea ki te "kaikōhuru puku". Mā te whakamātautau toto anake ka taea te tino mōhio.
Engari ka tīmata ngā raruraru ina nui haere te ngako i roto i ngā oko toto, ā, ka ārai i aua ngako, ka waiho kia kore e rongoatia mō te wā roa. Ka taea e tēnei te arahi ki ngā āhuatanga kino pēnei i:
- Te Mate Puku o te Arorangi (CAD): Ka whaiti ngā oko toto e tuku toto ana ki te ngākau nā te mea he nui ngā ngako e toe ana. Ka kore e taea e te ngākau te whiwhi i te hāora me ngā matūkai e hiahiatia ana. Ka pā mai pea te mamae o te uma (angina) me te mate ngākau.
- Te Mate Manawa: Ka pakaru ohorere ngā papa ngako kua hanga ki roto i ngā oko toto, ka hanga he toto totoka. Mena ka aukati katoatia e tēnei toto totoka te rere o te toto ki tētahi wāhanga o te manawa, he mate manawa. Ko ngā tohu ka uru atu ki te mamae nui o te uma, te mamae e horapa ana ki te kauae, te pakihiwi, te ringa rānei, te werawera, me te uaua ki te manawa. Mena ka pāngia koe e ēnei tohu, me haere tonu koe ki te rūma ohorere o te hōhipera (ETU).
- Te whiu: He rite ki te mate manawa, ka puta te whiu ina pakaru te toto totoka ka aukati i te uaua e tuku toto ana ki te roro. Ko ngā tohu ka uru atu ki te ānini ohorere, te uaua ki te kōrero, te ngoikore o te taha kotahi o te tinana, me te ngaro o te tirohanga. He āhuatanga ohorere hauora anō hoki tēnei.
- Ngā putunga ngako i runga i te kiri: Ka kitea pinepine ēnei i roto i ngā take o te cholesterol teitei whānau. Ka puta mai hei puku kōwhai tata ki ngā kamo (xanthelasmas) he puku rānei i runga i ngā tuke, turi, me ngā ringa (xanthomas).
Me pēhea te tautuhi i tēnei?
Ko te huarahi anake hei mōhio mēnā he hyperlipidemia tōu ko te whakamātautau toto . Ka kiia tēnei ko te 'Lipid Profile' ko te 'Lipid Panel' rānei. I te nuinga o te wā ka mahia tēnei whakamātautau i muri i tō nohopuku mō te 9-12 hāora.
Ka whai whakaaro tō tākuta ki ngā āhuatanga pēnei i tō tau, ētahi atu āhuatanga hauora, me te hītori hauora whānau hei whakatau mēnā kei te mōrearea ō taumata cholesterol.
| Whakamātautau | Taumata hauora (mg/dL) | Taumata mōrearea (mg/dL) |
|---|---|---|
| Kolesterol Katoa | I raro iho i te 200 | 240, neke atu rānei |
| Korekore LDL ("kino") | Kei raro iho i te 100 (kei raro iho i te 70 mō te hunga e mōrearea ana ki te mate manawa) | 160, neke atu rānei |
| Kolesterol HDL ("pai") | Tāne: Neke atu i te 40 tau Wahine: Neke atu i te 50 tau (neke atu i te 60 tau te pai) | Tāne: I raro i te 40 tau Wahine: I raro i te 50 tau |
| Ngā Triglycerides | I raro i te 150 | 200, neke atu rānei |
Me pēhea tā tātou whakahaere i tēnei āhuatanga?
E rua ngā wāhanga matua o te whakahaere i tēnei. Ko tētahi ko te whakarerekē i tō tātou momo noho. Ko tētahi ko te tango i ngā rongoā e ai ki te whakahaunga a te tākuta, mēnā e tika ana.
1. Ngā Huringa Āhua Noho
Koinei ngā mea ka taea e koe te mahi. Koinei te wāhanga tino nui o te maimoatanga.
- Kai pai: Whakaitihia ngā kai he nui ngā ngako kukū me ngā ngako whakawhiti. Whakaitihia te whakamahinga o te hinu kokonati me te hinu nikau. Whakaitihia ngā kai parai, te mīti whero, te tiihi, te pata, ngā keke, me ngā pihikete. Engari, kai atu i ngā kai he nui te muka . He pai katoa te ōti, te raihi parauri, ngā witi katoa, ngā huawhenua, ngā hua rākau, ngā pīni, ngā pīni kikī, me ngā pīni.
- Kai ika: Mā te kai ika hinuhinu pērā i te hāmana, te tuna, te makarera, me te sardine i te iti rawa i ngā rā e rua i te wiki ka āwhina i te whakaheke i ngā triglycerides.
- Whakakorikori Tinana: Me whakakorikori tinana kia 30 meneti pea ia rā, pērā i te hikoi tere, te eke pahikara, te kaukau rānei. Ki te uaua ki te mahi i ngā mahi katoa i te wā kotahi, wehea kia 10-15 meneti te roa, ka mahi i ngā wā maha i te rā.
- Kati te momi hikareti me te inu waipiro: Mā te whakamutu i te momi hikareti ka piki ake tō cholesterol pai (HDL). He mea nui anō hoki kia mutu rawa, kia tino whakawhāiti rānei i te inu waipiro.
- Whakahaerehia tō taumaha: Mena he taumaha rawa koe, he āwhina nui te whakaiti i tō taumaha ki te whakahaere i te cholesterol.
- Whakahaerehia te ahotea: Kia mau tonu te oranga hinengaro mā roto i ngā mahi pēnei i te whakaaroaro me te yoga.
2. Ngā rongoā i hoatu e te tākuta
I ētahi wā, ahakoa ngā huringa āhua noho, kāore pea e ranea hei whakahaere i ō taumata cholesterol. I roto i ēnei āhuatanga, ka tohua he rongoā e tō tākuta.
- Ngā Statin: Koinei te momo rongoā e whakamahia whānuitia ana hei whakaheke i te cholesterol. Mā te whakaiti i te hanga cholesterol i roto i te ate ka mahi.
- Ngā rongoā kē atu: Haunga ngā statin, kei reira anō ētahi atu rongoā pērā i te Ezetimibe, Fibrates, me ngā aukati PCSK9. Mā tō tākuta e whakatau ko tēhea rongoā te mea pai māu.
He mea tino nui: Tangohia te rongoā kia rite ki te whakahaunga a tō tākuta, mō te wā kua whakaritea. Kaua e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te hyperlipidemia he taumata teitei o ngā ngako i roto i ō toto, inā koa te cholesterol "kino" (LDL) me ngā triglycerides.
- I te nuinga o te wā, kāore he tohu e kitea i ngā wāhanga tōmua, nō reira he mea nui kia tirotirohia te tākuta i ia wā.
- Ka taea te tautuhi ngāwari i tēnei mate mā te whakamātautau toto māmā (Lipid Profile).
- Ko ngā huringa āhua noho, pērā i te kai pai, te whakakori tinana, me te whakamutu i te kai paipa, ko ngā mahi tuatahi me ngā mahi nui rawa atu o te maimoatanga.
- I ētahi wā, hei tāpiri atu ki ngā huringa momo noho, me tango pea e koe ngā rongoā i whakaritea e te tākuta.
- Mā te whakahaere i ō taumata cholesterol ka āwhina i a koe ki te tiaki i a koe mai i ngā mate kino pēnei i te mate manawa me te whiu. Kōrero tonu ki tō tākuta mō tēnei.











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero